Construction Inspection and Survey Form
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Prepared by:
Site Name & Location:
Tenant Protection Inspection
Survey
Any Accidents Today?
Yes
No
N/A
Any schedule delays occur?
Yes
No
N/A
Did weather cause any delays?
Yes
No
N/A
Any visitors on site?
Yes
No
N/A
Any area's that can't be worked on?
Yes
No
N/A
Any equipment rented on site?
Yes
No
N/A
Exterior of Project
1. Are all fences installed safely and supported properly?
Yes
No
N/A
2. Is all project signage properly mounted and displayed for the public?
Yes
No
N/A
3. Loading dock/material receiving area is clear of any vehicles or materials?
Yes
No
N/A
4. All exterior equipment has proper flaggers, back-up signals, and is following speed limits.
Yes
No
N/A
5. All trenching is being barricaded and workers are using shoring as required.
Yes
No
N/A
6. All crane activities are working safely to ensure protection of workers and the public.
Yes
No
N/A
7. Please indicate any safety issues specific to exterior of the project noted during the inspection.
Personal Protective Equipment
1. Are all workers wearing hardhats, safety glasses, vests, and work boots?
Yes
No
N/A
2. Any hazardous work occurring on site is utilizing all required PPE
Yes
No
N/A
3. All fall protection is being worn for work occurring above 6 feet.
Yes
No
N/A
4. All visitors on site are wearing appropriate PPE.
Yes
No
N/A
5. Please indicate any safety issues specific to PPE noted during the inspection.
Housekeeping
1. Are all areas of the project being kept clean and free of debris?
Yes
No
N/A
2. Are all corridors, stairs, and paths of egress free of debris?
Yes
No
N/A
3. Are any areas not up to housekeeping standards being addressed by the team?
Yes
No
N/A
4. Project has adequate number of Fire Extinguishers and they are spaced as required.
Yes
No
N/A
5. Please indicate any safety issues specific to housekeeping noted during the inspection.
Equipment On Site
1. All workers using equipment on site have been trained to use that specific equipment.
Yes
No
N/A
2. All workers using equipment on site are following manufacturer's and OSHA's requirements for safe use.
Yes
No
N/A
3. All cords, plugs, and spider boxes are in good working condition
Yes
No
N/A
4. Please indicate any safety issues specific to equipment noted during the inspection
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